Rackham, Laurin

Rackham, Laurin was paid $3K by Medicaid between Aug 2018 and Nov 2020, across 2 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 96% of everything it billed.

33Billing provider infoRACKHAM, LAURIN
OREM, UT 84097

33aNPI1144361296assigned 02/10/2007

33bProvider typePediatric Dentist

28Total paid$3K

24GClaims188

24DCodes billed2

24AFirst – last monthAug 2018 – Nov 2020

Compared with peers

Next to other Pediatric Dentist providers in Utah

Rank by total paid#146 of 152

Median peer was paid$311K

This provider vs. median0.0×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	41	$761.34
2019	117	$2K
2020	30	$402.43

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	96%	114	114	$3K
D1206	Topical application of fluoride varnish	4.1%	74	74	$123.57

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.